Bilateral acute macular neuroretinopathy in a postpartum, otherwise healthy female: A case report

Abstract

Acute macular neuroretinopathy (AMN) is a rare, macular disorder which typically affects young women who present with paracentral scotoma in one or both eyes corresponding to red, wedge-shaped parafoveal lesions. A young female presented with the complaints of few black spots (scotomas) in her visual field, which she noticed 1 month after a full-term normal delivery. Fundus examination showed flat, well-demarcated, reddish parafoveal lesions in both eyes, corresponding to the scotoma. Optical coherence tomography (OCT) at the site of lesion showed a well-delineated defect in the reflectivity of outer retinal layer. After 6 months of follow-up, fundus lesions were noted to be fading and repeat OCT revealed the realignment of the defect in the outer retinal reflectivity.

Keywords

• Apoptosis
• glaucoma
• intraocular pressure
• retinal ganglion cells
• retinal ischemia
• tumor necrosis factor-alpha
• Branch retinal vein occlusion
• laser
• Lucentis
• macular edema
• Microbial etiology
• mucopurulent keratitis
• suppurative keratitis
• Intraoperative application of mitomycin C
• mitomycin C
• postoperative complications
• preoperative subconjunctival injection
• recurrence rate
• recurrent pterygium
• Cataract
• inflammation
• mydriasis
• prevention and control
• surgery
• Cross-cylinder technique
• photoastigmatic refractive keratectomy
• refractive surgery
• ′BARC I-125 Ocu-Prosta seeds′
• choroidal melanoma
• plaque brachytherapy
• retinoblastoma
• vasoproliferative tumors
• Asian Indian
• Amaurosis
• amaurosis hemianopia
• capsulolenticular cataract
• conjunctiva
• lenticular cataract
• leukoma
• eye lid
• ophthalmia chronica
• ophthalmic purulentis
• Interpretation
• magnetic resonance imaging
• orbit
• ophthalmology
• Antivascular endothelial growth factor
• intravitreal bevacizumab
• ocular inflammation
• Acute macular neuroretinopathy
• optical coherence tomography
• scotoma